Modular patient room

ABSTRACT

A modular patient room includes a plurality of modular wall panels or units having various configurations. In some embodiments, the modular wall units have water dispensers. Headwall units having water dispensers are also disclosed. The water dispensers are configured to filter water or to sterilize water.

This application is a continuation-in-part of U.S. patent applicationSer. No. 09/298,257 which was filed Apr. 22, 1999 now U.S. Pat. No.6,405,491 and which is hereby incorporated by reference herein. Thisapplication also claims priority under 35 U.S.C. § 119(e) to U.S.Provisional Patent Application Ser. No. 60/293,949 which was filed onMay 25, 2001 and which is hereby incorporated by reference herein.

BACKGROUND AND SUMMARY

The present disclosure relates to adaptable clinical environments andparticularly, to modular components for installation into a clinicalenvironment. More particularly, the present disclosure relates tomodular panels or units having patient-care components orservice-delivery components coupled thereto.

Modular components for dividing open spaces into cubicles and rooms arewell known.

A modular patient room for installation in a healthcare facility havinggas supply lines, electrical supply lines, and water supply lines inaccordance with one aspect of the present disclosure includes wallpanels having oppositely facing spaced apart wall surfaces, oppositelyfacing spaced apart side walls configured for joining to the side wallof another wall panel, a top surface, a bottom surface, and an interior.One of the wall panels includes a conduit having a first end extendingthrough a wall surface of the wall panel and a second end separated fromthe first end by an internal portion disposed in the interior of wallpanel, the second end extending through one of the sidewalls, topsurface, and bottom surface and being configured for connection to oneof the gas, electrical and water supply lines. The modular patient roommay also include couplings in the side walls connected to the second endof the conduit, the couplings being designed and arranged to coupleconduits of abutting wall panels. Also a cavity may be formed in thewall surface so that the first end of conduit can extend through cavityof wall surface, and a panel may be pivotally attached to wall surfaceto pivot between a first position in which first end of conduit isconcealed and a second position in which first end of conduit isaccessible. The conduit may be gas piping or electrical wiring.

A modular system for use in a healthcare facility in accordance with oneaspect of the present disclosure includes a plurality of wall panelshaving side walls and a unit having edge walls and also having watersupply and waste water conduits formed therein for connection to awater-using device. The edge walls of the unit and the side walls of thewall panels include connectors configured to join to connectors of otherwall panels and units. The unit may be a shower, a toilet, or a sink.

According to another aspect of this disclosure, an apparatus for use ina healthcare facility to dispense water to a point of care in thehealthcare facility is provided. The apparatus comprises a headwall unitmounted to a wall of the healthcare facility. The headwall unit has agas outlet through which gas is delivered. The apparatus furthercomprises a water dispenser coupled to the headwall unit. The waterdispenser is coupled to a water line of the healthcare facility and thewater dispenser is operable to dispense water to the point of care. Insome embodiments, the water dispenser filters the water, and in otherembodiments, the water dispenser sterilizes the water. Alternatively,the water dispenser is coupled to a modular wall unit.

Additional features and advantages of the present invention will becomeapparent to those skilled in the art upon consideration of the followingdetailed description of preferred embodiments exemplifying the best modeof carrying out the invention as presently perceived.

BRIEF DESCRIPTION OF THE DRAWINGS

The detailed description particularly refers to the accompanyingfigures, in which:

FIG. 1 illustrates the assembly of a patient room from variouslyconfigured wall panels and modular patient service equipment;

FIG. 2 is a perspective view of a conventional wall wired and plumbedfor receipt of modular patient service equipment;

FIG. 3 is a perspective view of a partially assembled patient roomshowing a conventional wall, two walls constructed from wall panels, andfree standing wall panels which will be assembled by workers to form thefourth wall of a patient room;

FIG. 4 is a perspective view of a patient room with two walls removedfor clarity showing a conventional wall and a wall constructed of prefabpanels to which modular patient service equipment has been coupled;

FIG. 5 includes three time lapse perspective views of a patient roomwhich originally included a modular shower unit, a passageway wall paneland another wall panel forming an enclosed bathroom which isdisassembled to provide an open bathroom more conducive to intensivecare;

FIGS. 6–8 are perspective views of a two walls of a patient room with aconventional wall plumbed and wired with outlets and couplings to whichvarious modular patient service equipment is attached to form aheadwall;

FIGS. 9 is a perspective view of a wall formed from an alternativeembodiment of wall panels providing concealable lighting, gas andelectrical services;

FIG. 10 is a cross-sectional view of the alternative wall panel of FIG.9 showing the lighting and electrical and gas connections positioned toprovide patient services;

FIG. 11 includes two time lapse perspective views of two adjacentpatient rooms formed from alternative wall panels and modular patientservice equipment being converted from a medical surgical complex to acritical care unit;

FIG. 12 is a perspective view of a patient room created from alternativewall panels including pre-wired and pre-plumbed patient services whichare concealed;

FIG. 13 is a perspective view of two alternative wall panels includingpre-wired and pre-plumbed patient services which can be concealedshowing the panel on the right having lighting and electrical and gasservices in their non-concealed positions and the panel on the lefthaving the lighting and electrical and gas services concealed;

FIG. 14 is a perspective view of a patient room with one wall removedfor clarity including a headwall and an entry wall formed from wallpanels, a bathroom formed from a sink panel, a wall panel, an entrypanel, and a shower unit with modular patient service equipment attachedto the headwall;

FIG. 15 is a perspective view of a pair of modular wall units beinginstalled in a hospital showing a first modular wall unit extendingbetween a floor and a ceiling of the hospital, a second modular wallunit being pivoted into place in a back-to-back arrangement with thefirst modular wall unit, the first modular wall unit including aplurality of service-delivery outlets located about midway between a topend and a bottom end of the first modular wall unit, three gas-flowmeters included in the first modular wall unit positioned above theplurality of service-delivery outlets, a data monitor included in thefirst modular wall unit positioned above the gas-flow meters, andenvironmental control panels included in the first modular wall unitpositioned below the service-delivery outlets;

FIG. 16 is a perspective view similar to FIG. 15 showing an alternativemodular wall unit having a flip-down work surface, a keyboard (inphantom) supported on the work surface, a computer monitor (in phantom)situated in a recess adjacent the work surface, and a set of supplyshelves above the computer monitor;

FIG. 17 is a perspective view of a portion of a patient room showing apatient resting in a hospital bed, a caregiver standing at a point ofcare in the hospital room, the caregiver filling an IV bag with waterdispensed by a water dispenser that is coupled to a headwall unitmounted to a wall of the patient room;

FIG. 18 is an exploded perspective view of a portion of the patient roomof FIG. 17 showing the headwall unit having a cavity, the waterdispenser having a filter module and a dispenser module, and the cavitybeing sized to receive the filter and dispenser modules;

FIG. 19 is a diagrammatic view of the water dispenser of FIG. 18 showingthe dispenser module having an electric circuit including a controller,one or more user inputs, a display, and a flow sensor, the controllerbeing coupled electrically to a control valve, the controller beingcouplable to a network and to a supply of power, and showing the filtermodule having a filter that is couplable to an external water line andto a water line of the dispenser module that leads to the control valve;and

FIG. 20 is a diagrammatic view, similar to FIG. 19, of an alternativewater dispenser showing a sterilizer module having a sterilizer andshowing a dispenser module having an electric circuit including acontroller, the controller being coupled electrically to the sterilizer,and the sterilizer being couplable to an external water line and to awater line of the dispenser module that leads to a control valve of thedispenser module.

DETAILED DESCRIPTION OF THE DRAWINGS

As shown in FIG. 1, an adaptable clinical environment or modular patientroom 20 includes variously configured wall panels 22 and modular patientservice equipment 24. Modular patient service equipment 24 may beconnected to couplings 26 and outlets 28 formed in wall panels 22 orconventional walls 30. Prefabricated modular wall panels 22 are designedto be joined together and to existing conventional walls 30 tofacilitate the creation of and reconfiguration of patient rooms. Modularwall panels 22 are configured for rapid clean installation and forjoining to permanent conventional walls 30 or other modular wall panels22 in multiple configurations so that a healthcare facility floor spacecan be customized to suit patient needs.

Various configurations of modular wall panels 22 are provided, includingan electrical outlet panel 32 including one or more electrical outlets28 hardwired therein, an electrical/gas panel 34 including one or moreelectrical outlets 28 hardwired therein and one or more gas outlets 26plumbed therein, a entry way panel 36 formed to include a door frame 38therein, a window panel 35 formed to include a window 37 therein, aheadwall panel 40 including hardwired and brazed electrical and gasconnections 28, 26 configured for receipt of modular headwall components42 of modular patient service equipment 24. An alcove wall panel 39formed to include a computer station 41 is also designed for modularassembly. A modular bathroom is also provided which includes a toiletpanel 44 with a toilet 46 attached thereto and properly plumbed withwater supply lines and waste water disposal lines (not shown), a showerunit 48 with basin 50 and shower head 52 appropriately plumbed for watersupply and waste water disposal (not shown), a sink panel 54 with a sinkbasin 56 attached thereto and appropriately plumbed for water supply anddisposal (not shown). The supply and disposal lines are not shown asthey extend through the interior of the unit.

It is within the scope of this disclosure for shower unit 48 and toiletpanel 44 to be integrated together such that toilet 46 is situated aboveor on basin 50. In such a water-using device having toilet 46 situatedabove or on basin 50, a patient may sit on toilet 46 (or an associatedtoilet seat cover), if desired, during showering. Such a water-usingdevice is well suited for patients who are not able to stand for longperiods of time or who are unable to stand at all. In some embodiments,a bed pan washer is integrated into toilet 46.

It will be understood that all wall panels 22 include oppositely facingspaced apart wall surfaces 58 with side walls 60 extending therebetween,a top surface 62, and a floor engaging surface 64 defining an interiorof the panel 22. Wall panels 32, 34, 40, 39, 44, 54 and units 48 withelectrical outlets 28 and or gas couplings 26 extending through the wallsurface 58, and/or plumbing connections (not shown) have the conduits 65including wiring 66 and piping 68 arranged to extend through theinterior of the panel 22 or unit between the outlet 28, coupling 26,and/or connection and the top surface 62 through which the wiring orplumbing extends. Healthcare facilities typically include false ceilingsabove which electrical, gas, and plumbing supply lines extend. Wiring 66and piping 68 extending through top surface 62 for connection to supplylines above the false ceiling.

Modular patient service equipment 24 includes modular headwallcomponents 42 and other components such as, a monitor 70, a pressureregulator 72 and the like. Multiple headwall components 42 are alsoprovided including a lighting unit 74, a Hi-Acute headwall unit 76, a loacute headwall unit 78, and a mobile headwall unit 80 all of which areavailable from Hill-Rom, Inc, Batesville, Ind. It will be understoodthat, the outlets 28 and couplings 26 extending through wall surface 58of wall panels 22 are arranged and configured to mate with coupling andconnectors on the modular patient service equipment 24 so that power,fluids, pressurized gasses, and vacuum may be supplied to the modularpatient service equipment 24 upon connection of the same to a wall panel22.

An alternative wall panel 122 is illustrated in FIGS. 9–14. Wall panels122 include oppositely facing spaced apart wall surfaces 158 with sidewalls 160 extending therebetween, a top surface 162, and a floorengaging surface 164 defining an interior of the panel 122.Illustratively, wall panel 122 is formed to include a laterallyextending light cavity 182 extending inwardly from wall surface 158 andincludes a lighting unit 174 pivotally mounted within cavity 182.Illustratively, lighting unit 174 includes a panel 184 having adecorative surface 186 and a light housing surface 188. Light panel 184is pivotally mounted at one end 190 to top 192 of cavity 182 so thatwhen light panel 184 is pivoted inwardly decorative surface 186 liessubstantially parallel to wall surface 158 while light housing surface188 is disposed within cavity 182 and concealed from view. As shown inFIG. 10, when panel 184 is rotated 90 degrees, light housing surface 188is disposed so that an electric light 194, such as an incandescent orflorescent bulb, can provide illumination to the room. Power is providedto light 194 through internal wiring 166 in wall panel 122.

Wall panel 122 also includes a laterally extending service cavity 196within which electrical outlets 128 and gas couplings 126 arepositioned. A service panel 198 having a decorative side 197 and afixture-facing side 195 is pivotally mounted at one end 193 to top 191of service cavity 196. When service panel 198 is rotated inwardly,decorative side 197 is substantially parallel to wall surface 158 andelectrical outlets 128 and gas couplings 126 are concealed. When servicepanel 198 is rotated outwardly, access is provided to electrical outlets128 and gas couplings 126 for connection of modular patient serviceequipment 24 thereto.

As shown, for example, in FIG. 13, couplings 127 and connectors 129 areprovided in side walls 160 to connect internal electrical wiring 166 andgas piping 168 of adjacent wall panels 122 when they are connected. Thewiring 166 and piping 168 extends through the interior of the panel 122to provide electricity to outlet 128, and gas to coupling 126. Wiring166 and plumbing 168 also extend through top surface 162 to connect togas and electric supply lines in the ceiling.

According to this disclosure, a modular wall system 210 includes aplurality of modular wall units 212 extending between a floor and aceiling of a hospital as shown in FIG. 15. A skeletal framework 211 isfixed to the floor and to the ceiling of the hospital. Illustrativeframework 211 has horizontal frame members 217 and vertical framemembers 219. Frame members 217 are mounted either to the floor or to theceiling and frame members 219 extend between frame members 217. In someembodiments, frame members 217, 219 are tubular members having hollowinterior regions; in other embodiments, frame members 217, 219 arechannel members that are open on one or more sides; and in still otherembodiments, frame members 217, 219 are solid members.

In some alternative arrangements, frame members 217 are omitted suchthat wall units couple only to frame members 219, and in otheralternative arrangements, frame members 219 are omitted such that wallunits couple only to frame members 217. Other structures to which units212 couple in lieu of framework 211 are contemplated by this disclosure.For example, in some embodiments, wall units 212 are configured tocouple to tabs, flanges, brackets, posts, or the like that extend fromthe floor or from the ceiling or from both, and in other embodiments,wall units 212 are fastened directly to the floor or to the ceiling orone or more walls or to combinations of these.

Wall units 212 are particularly suited for use in hospitals to constructpatient rooms or for use in other healthcare facilities, includingnursing homes, outpatient clinics, and the like, to construct rooms ofvarious types. In some embodiments, wall units 212 couple to framework211 in a back-to-back arrangement. Such an arrangement is used, forexample, when wall system 210 divides one hospital room from anotherhospital room. In other embodiments, one side of framework 211 abuts, oris situated alongside, an existing hospital wall and one or more wallunits 212 couple to the other side of framework 211.

Each illustrative wall unit 212 includes couplers 213 that engage matingcouplers 215 included in or mounted to framework 211. Couplers 213, 215may include, for example, hooks, posts, latches, clasps, clamps, snaps,slots, fingers, flanges, pins, and the like, as well as combinations ofthese. For example, in some embodiments, one set of couplers 213, 215comprises headed pins and the other set of couplers 213, 215 compriseskeyhole-shaped slots that receive the headed pins in a manner well knownto those skilled in the art. In some embodiments, couplers 215 offramework 211 comprise pins that extend through holes formed in wallunits 212 into the interior region of units 212 to be engaged by movablehooks, latches, clasps, or other suitable grippers. In such embodiments,a release mechanism, such a lever, handle, knob, button, or the like, iscoupled to each of the associated grippers and is accessible through anaccess port 221 of the respective unit 212 for actuation to release theassociated grippers, of whatever type, from the associated pins topermit decoupling of the associated wall unit 212 from framework 211.

Modular wall units 212 are prefabricated in a variety of styles havingone or more of the following types of built-in, service-deliveryequipment: electrical services (such as electrical power and datalines), gas services (such as gas delivery and suction lines), conduits(such as water delivery or drain lines, as well as conduits for wirepass through), raceways (such as vertical or horizontal mountingtracks), monitors (such as monitor 70 mentioned above), communicationdevices (such as telephone or intercom equipment), gas blocks,manifolds, gas-flow meters, supply shelves, display screens, windows(such as window 37 described above), sinks (such as sink 56 describedabove), hand-washing monitors (such as described in U.S. patentapplication Ser. No. 09/699,796 for HYGIENE MONITORING SYSTEM which wasfiled Oct., 30, 2000 and which is hereby incorporated by referenceherein), drawers, water-supply devices, baths, and flip-down worksurfaces. For example, an illustrative modular wall unit 212, shown inFIG. 15, includes a plurality of gas and/or electrical service-deliveryoutlets 214, a plurality of gas-flow meters 216, a data monitor 218, apair of environmental control panels 220, and a pair of water-supplymodules 222. Water-supply modules 222 are referred to elsewhere in thisdisclosure as water dispensers.

Electrical services accessible via appropriately configured outlets 214include, for example, electrical power or data transfer lines. Datatransfer lines comprise lines coupled to a computer network, audiolines, video lines, telephone lines, and the like. Gas servicesaccessible via appropriately configured outlets 214 include, forexample, delivery of any type of gas such as oxygen, nitrogen, carbondioxide, nitrous oxide, hydrogen, argon, etc. and delivery of suction,including suction used for waste anesthesia gas disposal. Meters 216include indicators that provide a visual display of the pressure of thegas services delivered to associated outlets 214.

Data displayed on monitor 218 includes, for example, data pertaining topatient physiological conditions (such as heart rate, respiration rate,blood pressure, blood oxygenation levels, and the like), other patientdata (such as name, medical condition, laboratory results, the patient'sdoctor, etc.), data pertaining to gas or electrical services deliveredvia outlets 214, environmental data (such as room temperature, humidity,barometric pressure, etc.), supply management data (such as thepatient's prescribed medications, dosage levels for medications, a listof equipment used to provide care to the patient, and lists ofmiscellaneous items to be stocked in the patient's room, etc.). Ifmonitor 218 is coupled to a computer that is, in turn, coupled to thecomputer network of the healthcare facility, then any data available onthe computer network (including data available on the world wide web,aka the Internet) may be displayed on monitor 218.

Environmental control panels 220 include user inputs that are used toadjust, for example, room temperature or room lighting. In someembodiments, panels 220 include user inputs for controllingentertainment equipment, such as a radio or television. Water-supplymodules 222 are configured to supply filtered and/or sterilized water tothe point of care for the patient. Details of water-supply modules (akawater dispensers) are provided below with reference to FIGS. 17–20.

Wall units 212 of FIGS. 15 and 16 each have a vertically movable upperdoor panel 223 and a vertically movable lower door panel 225. Panel 223of wall unit 212 of FIG. 15 is movable between a lowered positioncovering meters 216 and monitor 218 and a raised position exposingmeters 216 and monitor 218 for use. Panel 225 of wall unit 212 of FIG.15 is movable between a raised position covering outlets 214, panels220, and modules 222 and a lowered position exposing outlets 214, panels220, and modules 222 for use. Wall unit 212 has stationary upper andlower front panels 229 that extend substantially vertically. Wall unit212 also has a pair of stationary inclined panels 233 situated betweenpanels 229.

Meters 216 and monitor 218 are embedded in wall unit 212 such that frontfaces or portions of these devices project beyond the upper front panel229 by only a minimal amount, if at all. Similarly, control panels 220and modules 222 are embedded in wall unit 212 such that front faces orportions of these devices project beyond the lower front panel 229 byonly a minimal amount, if at all. Outlets 214 are mounted on inclinedpanels 233 so as not to project beyond a plane defined by the frontsurfaces of the upper and lower front panels 229.

Wall units 212 each have a pair of spaced apart side walls 228. Thevertical edges of movable panels 223, 225 or, alternatively, membersattached to panels 223, 225 adjacent the side edges, are received intracks that are formed in or that are coupled to side walls 228 orpanels 229. In some embodiments, vertical edges of panels 223, 225 slidein the tracks of side walls 228 or panels 229 and in other embodiments,rollers or friction-reducing pads are provided to guide the movement ofpanels 223, 225 relative to side walls 228 or panels 229, as the casemay be.

In some embodiments, panels 223, 225 are movable independently of oneanother between the respective raised and lowered positions. In otherembodiments, panels 223, 225 are interconnected by a suitable linkagemechanism, such as a set of cables and pulleys or a set of chains andsprockets, so that upward movement of panel 223 results in downwardmovement of panel 225 and vice versa. Wall units 212 have suitablelocking mechanisms, such as latches, pins, clutches, hooks, or the like,that lock doors 223, 225 in the respective raised and lowered positionsand that are released, via a release handle, lever, knob, switch, or thelike, to unlock doors 223, 225. Panels 223, 225 are substantially planarin some embodiments, as shown in the “outer” wall units 212 of FIG. 15,and panels 223, 225 are curved in other embodiments, as shown in the“center” wall unit 212 of FIG. 15. Wall units 212 with curved panels223, 225 have larger interior regions and therefore, are able to havemore or larger pieces of equipment prefabricated therein or mountedthereto.

Data lines, gas lines, vacuum lines, power lines, and water lines arecoupled to associated equipment, such as, outlets 214, meters 216,monitor 218, panels 220, and modules 222. Appropriately configuredconnectors 224, shown in FIG. 15, are coupled to ends of these variouslines and are accessible either through openings 226 formed in sidewalls 228 of wall units 212 or through openings (not shown) formed in atop wall (not shown) of wall units 212. The top walls of units 212 aresimilar to the top walls of wall panels 22, 122 shown in FIGS. 1–14.

Connectors 224 that are accessible through openings 226 associated witha particular wall unit 212 mate with corresponding connectors of thenext adjacent wall unit 212. Thus, wall units 212 each include linesegments that deliver services to associated equipment such as, outlets214, meters 216, monitor 218, panels 220, and modules 222 included inwall units 212 or that deliver services to the line segments of the nextadjacent wall unit 212. Connectors 224 that are accessible throughopenings formed in the top wall of wall units 712 couple to otherhospital service lines (not shown) to receive services therefrom. Insome instances, connectors 224 are gas connectors (or suctionconnectors); in other instances, connectors 224 are electricalconnectors; and in still other instances, connectors 224 are waterconnectors.

With regard to some embodiments having connectors 224 accessible throughopenings 226, connectors 224 of one wall unit 212 mate with connectors224 of the next adjacent wall unit 212 automatically. If one set ofcouplers 213, 215 comprises headed pins and if the other of connectors215 comprises keyhole-shaped slots, as described above, then theautomatic mating occurs, for example, as a result of one of wall units212 being moved horizontally toward a stationary, next-adjacent wallunit 212 after the wall unit 212 to be moved has been placed in anupright position against framework 211. In such embodiments, a portionof one set of connectors 224 enters into the interior region of the nextadjacent wall unit 212 to mate with the associated second set ofconnectors 224 which are aligned with the first set of connectors 224.In other embodiments, front access panels 238 of wall units 212 areremovable to permit access to the interior regions of wall units 212 sothat connectors 224 can be manipulated by personnel or so that separateconnector pieces (not shown) can be mated with connectors 224 of theside-by-side wall units 212.

Another illustrative wall unit 212, shown in FIG. 16, includes aflip-down work surface 230 and a set of supply shelves 232. A pair ofbraces 231, such as cables, ropes, chains, or articulated linkages,supports work surface 230 in a horizontal use position as shown in FIG.16. Work surface 230 is pivotable from the use position to a verticalstorage position. Wall unit 212 has a suitable locking mechanism to lockwork surface 230 in the storage position. Optionally, a computer monitor234 may be integrated into the wall unit 212 and a keyboard 236 may beattached to or placed on work surface 230 as shown in FIG. 16 (inphantom). Electrical lines are routed to monitor 234 or to any otherequipment integrated into wall unit 212 through, for example, opening226 of side wall 228 of the wall unit 212 of FIG. 16.

Wall units 212 may be configured, as desired, to include any of thefeatures or devices that are included in or couplable to any of thepanels 22, 32, 34, 36, 35, 40, 39, 44, 54, 122 described above withreference to FIGS. 1–14. Furthermore, wall units 212 having visitorseating, a flip-down guest bed, a writing desk, a closet or other roomfurniture built therein are within the scope of this disclosure.Flip-down guest beds and visitor seats are similar to flip-down worksurface 230, except that the beds and seats are appropriately sized forthe intended use (lying down or sitting) and have cushions or padscoupled thereto. In some embodiments, the beds and seats of units 212have legs that engage the floor of the hospital room to provideadditional support to the associated beds and seats when moved to therespective use positions.

Based on the preceding discussion, it will be appreciated that wallunits 212 can be set up or taken down with simple tools and withoutcreating much, if any, dust, debris or excessive noise. In thoseembodiments of wall units 212, having one or more windows 37, some orall of the windows 37 may be a liquid crystal display (LCD) window thatis normally transparent, but that becomes opaque when a voltage isapplied thereto. In such embodiments of wall units 212 having one ormore LCD windows, an appropriate number of switches are provided on thewall unit 212 for changing the associated LCD windows from thetransparent configuration to the opaque configuration. It is within thescope of this disclosure for any of the above-mentioned equipmentincluded in wall units 212 to be coupled electrically to a computernetwork of the hospital to communicate information about the equipmentto the network. The information communicated to the network from wallunits 212, therefore, may be viewed on a remote computer terminal, suchas a computer terminal at a nurse station.

Referring now to FIGS. 17 and 18, a water dispenser 250 is coupled to aheadwall unit 260 that is mounted to a wall 252 of a patient room.Illustrative headwall unit 260 has a cavity 254, shown best in FIG. 18,that is configured to receive dispenser 250 as shown in FIG. 17. It iswithin the scope of this disclosure for headwall unit 260 to have avariety of configurations and features, such as, for example, thoseshown and described in U.S. Pat. Nos. 6,145,253; 5,890,326; 5,756,933;5,653,064; 5,323,565; 5,060,425; 4,821,470; and 4,338,485; each of whichis hereby incorporated by reference herein.

A hospital bed 256 that supports a patient is arranged so that a headend of hospital bed 256 is adjacent headwall unit 260 as shown in FIG.17. In other arrangements, the head end of bed 256 is adjacent a bedlocator which is either coupled to or separate from headwall unit 260.Thus, a bed locator, itself, is considered to be a “headwall unit”within the scope of this disclosure, as are units like unit 260 withoutbed locators and units with bed locators integrated therewith or coupledthereto.

The areas or zones around hospital bed 256 within the hospital room areconsidered to be “points of care” for the patient. That is, caregiversattend to the needs of patients when in the points of care. Althoughheadwall unit 260 and water dispenser 250 is discussed herein in thecontext of a patient room in a hospital, it is within the scope of thisdisclosure for headwall unit 260 and water dispenser 250 to be used inother environments such as a nursing home, outpatient surgery facility,and the like.

Headwall unit 260 is in the point of care for the patient and includeselectrical outlets 262 and gas outlets 264. Illustrative headwall unit260 has a horizontal upper chase 266 and a horizontal lower chase 268beneath upper chase 266. In the illustrative embodiment, one or moreelectrical lines 270 and gas lines 272 are routed to associated outlets262, 264, respectively, through upper chase 266. In alternativeembodiments, lower chase 268 has outlets 262, 264 coupled thereto andassociated lines 270, 272 are routed through lower chase 268.

In the illustrative embodiment, a water line 274 of the healthcarefacility is situated behind wall 252 and is accessible in cavity 254through an opening 276 formed in wall 252 as shown in FIG. 18. Inalternative embodiments, water line 274 is routed through either upperchase 266 or lower chase 268 or portions of both. Water line 274 couplesto dispenser 250 to supply water to dispenser 250. The dispenser 250 isoperable to dispense water from water line 274 to the point of care.

Water dispenser 250 includes a first module 280 and a second module 282as shown in FIGS. 17–20. In alternative embodiments, modules 280, 282are formed as a single, integral module. First module 280 receives waterfrom line 274 and either filters the water, sterilizes the water, orboth. Second module 282 receives the filtered and/or sterilized waterfrom module 280. In the embodiment of module 280 shown in FIGS. 17–19,module 280 has a housing 284 and a filter 286 situated in an interiorregion of housing 284. In the embodiment of module 280 showndiagrammatically in FIG. 20, module 280 has a sterilizer 288 situated inthe interior region of housing 284. Sterilizer 288 operates to sterilizewater. In some embodiments, one of the components of sterilizer 288 is afilter. Module 282 has various components, described below, that controlthe dispensing of water to the point of care. Module 282 has a housing285 in which various other components of module 282, such as electricalcircuitry, are situated.

Filter 286 comprises, for example, a carbon filter, a fiber filter, areverse osmosis filter, or the like. Carbon filters typically comprisecartridges having porous surfaces and are packed with charcoal. Fiberfilters typically have cellulose or rayon fibers that are tightlywrapped. Reverse osmosis filters force water through a semi-permeable,nonporous synthetic membrane, such as a cellulose acetate membrane.Thus, the term “filter” as used in this disclosure, including in theclaims, is intended to cover devices of all types that are capable offiltering water. Such filters are available commercially from companiessuch as Culligan International Company of Northbrook, Ill. and BritaProducts Company of Oakland, Calif.

There are many devices and methods known for sterilizing water and thisdisclosure contemplates that sterilizer 288 may be appropriatelyconfigured to sterilize water via any of these devices or methods orcombination thereof. For example, exposure of water to ultraviolet lightis one method of water sterilization. See U.S. Pat. Nos. 6,235,191;6,193,894; 5,622,622; 4,755,292; and 4,535,247. Sterilization of watervia a heat exchanger (i.e. boiling/ condensing the water orheating/cooling the water) is another method of water sterilization. SeeU.S. Pat. Nos. 6,212,333; 6,059,965; 5,498,396; and 5,487,814.Electrolysis is yet another method of water sterilization. See U.S. Pat.Nos. 5,897,757; 5,439,576; 5,395,492; 4,946,574; 4,761,208; and4,451,341. Chemically treating water to sterilize the water is a furthermethod of water sterilization. See U.S. Pat. No. 4,594,154 (sodahypochlorite or chlorine gas); U.S. Pat. No. 4,043,932(sodium-silver-chloride complex); and U.S. Pat. No. 3,975,271 (mixtureof chlorine and a salt of another halogen, such as bromine and/oriodine). Filtering the water, possibly in stages and possibly incombination with other water treatment, is still another method ofsterilizing water. See U.S. Pat. No. 5,851,388(iodine resin filter);U.S. Pat. No. 5,573,666 (filter/ultraviolet light); U.S. Pat. No.5,556,279 (activated charcoal filter/iodinated fixed rate exchange resinfilter); U.S. Pat. No. 5,384,032 (resin filter/charcoalfilter/ultraviolet light); U.S. Pat. No. 5,068,030 (carbonfilter/microwave oscillator/ultraviolet light); U.S. Pat. No. 4,615,799(activated carbon filter/ultraviolet radiation) and U.S. Pat. No.4,342,651 (reverse osmosis filter). Other miscellaneous watersterilization devices and methods can be found in U.S. Pat. No.6,071,473 (ultrasonic vibrations/ultraviolet light); U.S. Pat. No.5,447,640 (ozonized water); U.S. Pat. No. 5,273,713(dyeing/irradiation); U.S. Pat. No. 5,158,454 (ozone radical converter);and U.S. Pat. No. 4,857,204 (ultraviolet light/magnetic field). All ofthe patents mentioned in this paragraph are hereby incorporated byreference herein to provide general information about watersterilization. Thus, the term “sterilizer” as used in this disclosure,including in the claims, is intended to cover devices and methods of alltypes that pertain to sterilizing water.

Module 280 of FIGS. 17–19 has an inlet line 290, an outlet line 292, afirst coupler 294 that couples inlet line 290 to line 274 of thehealthcare facility, a second coupler 296 that couples inlet line 290 toan inlet port of filter 286, a third coupler 298 that couples outletline 292 to an outlet port of filter 286, and a fourth coupler 300 thatcouples outlet line 292 to module 282. Filter 286 is replaceable andtherefore, couplers 296, 298 are manipulatable to attach and detachfilter 286 from lines 290, 292. To gain access to filter 286, a frontpanel or wall 310 of housing 284 is either pivotable relative to theremainder of housing 284 to an opened position or is completelyremovable from the remainder of housing 284. A lock (not shown) lockspanel 310 in a closed position so that only personnel with appropriatekeys, tokens, or access codes have access to filter 286 for inspection,repair or replacement.

Module 280 of FIG. 20 has some of the same components as module 280 ofFIGS. 17–19. For example, module 280 of FIG. 20 has inlet line 290,outlet line 292, first coupler 294, and fourth coupler 300. Lines 290,292 are illustrated diagrammatically in FIG. 20 as coupling directly tosterilizer 288 without the use of any couplers. However, it is withinthe scope of this disclosure for lines 290, 292 to be coupled tocomponents of sterilizer 288 with suitable couplers. A number ofdifferent types of couplers are contemplated by this disclosure. Forexample, the various couplers of water dispenser 250 may be threadedcouplers, quick-connect couplers, barbed couplers, leur lock couplers,cam lock couplers, and the like.

Module 282 of water dispenser 250 has an inlet coupler 311, an inletline 312, a flow-control valve 314, a flow sensor 316, an intermediateline 318, and an outlet line 320 having an exit nozzle or spigot asshown in FIGS. 19 and 20. Coupler 311 mates with coupler 300 of module280 so as to form a substantially watertight seal. Line 312 extends fromcoupler 311 to valve 314. Line 318 extends from valve 314 to flow sensor316. Line 320 extends from flow sensor 316. The exit nozzle or spigot ofline 320 is configured with a leur lock coupler or other suitablecoupler that mates with an inlet coupler of a piece of medical equipmentto receive water from water dispenser 250. For example, an IV bag 321 iscoupleable to the illustrative spigot of line 320 as shown in FIG. 17.

Module 282 comprises an electric circuit having a controller 322, one ormore user inputs 324, and a display 326. Controller 322 has amicroprocessor, a microcontroller, or other similar logic-basedprocessing component, as well as associated circuit components, such asa clock or oscillator, memory, analog-to-digital converter,parallel-to-serial data converter, and the like. Valve 314 is anelectrically actuated valve that is movable between an opened positionand a closed position. In some embodiments, valve 314 is a proportionalcontrol valve or other such valve having one or more intermediatepositions between the opened and closed positions. Thus, valve 314 mayinclude a solenoid, a stepper motor, or any other suitable device havinga mechanical portion that moves in response to receiving an electricalsignal. In alternative embodiments, valve 314 is operated eithermanually, pneumatically, or hydraulically.

In the illustrative embodiment of water dispenser 250, user inputs 324are engaged by a caregiver to control the flow of water from waterdispenser 250. In some embodiments, user inputs 324 comprise a momentaryinput such as a push button, a movable lever, a movable knob, a membraneswitch, or the like that is normally biased to a position preventingwater from being dispensed and that must be continuously engaged by thecaregiver to cause water to be dispensed.

Controller 322 sends a valve-control signal to valve 314 on a line 327to command valve 314 to move to the opened position, the closedposition, or to one of the intermediate positions depending upon aninput signal received from user inputs 324 on one or more lines 329.Flow sensor 316 senses the amount of water that is flowing out of line320 and provides a sensor signal on line 328 to controller 322.Controller 322 conditions the sensor signal, if needed, such as byconverting the signal from analog to digital, and processes the sensorsignal to determine if valve 314 should be opened further or closedfurther. In some embodiments, sensor 316 outputs a digital sensorsignal. Controller 322 is also configured to process the sensor signalto calculate how much water, in total, flows out of nozzle 320 betweenopening and closing of valve 314. Thus, illustrative water dispenser 250has an electronic flow control which comprises one or more of valve 314,sensor 316, controller 322, user input 324, and display 326.

Display 326 is coupled electrically to controller 322 via one or morelines 330 as shown diagrammatically in FIGS. 19 and 20. Display 326provides various types of visual data to the user regarding theoperation or condition of water dispenser 250. Examples of the type ofinformation displayed on display 326 include, the volume of waterdispensed (in real time and/or after completion), the volume of waterdispensed over some preset period of time (for example, day, week,month), the amount of time elapsed since filter 286 has been changed,the volume of water that has passed through filter 286 since it was lastchanged, a message that filter 286 needs to be changed, a message thatone or more of the components of sterilizer 288 needs to be changed orserviced, various error or alarm messages pertaining to the operation ofsterilizer 288, and various error or alarm messages pertaining to theoperation of the components, such as valve 314, sensor 316, orcontroller 322, of the electric circuit of module 282.

Optionally, controller 322 is coupleable to a network 332 of thehealthcare facility via a line 334 and coupler 336 as showndiagrammatically in FIGS. 19 and 20. When coupled to network 332, any ofthe data displayed on display 326 is reported to the network forarchiving or for viewing on a remote computer terminal, such as acomputer terminal at a nurse station. Error or alarm data communicatedto network 332 may be forwarded to maintenance personnel (via e-mail orvia computer operated paging) so that corrective action can be taken.

If controller 322 is coupled to network 332 of the healthcare facilityand if network 332 includes a nurse tracking system (such as a system inwhich receivers connected to the network are located throughout thefacility and caregiver identification transmitters are carried bycaregivers) and/or an equipment status system (such as a remote computerthat receives and displays information about the operating conditionsand configurations of hospital equipment), such as shown and described,for example, in U.S. Pat. Nos. 6,344,794; 6,147,592; 5,838,223;5,699,038; 5,561,412; and RE 35,035, each of which is herebyincorporated herein by reference, then data identifying the caregiver(s)present in a particular room when water dispenser 250 is operated may becorrelated with the amount of water dispensed or with other informationassociated with water dispenser 250 and stored in the memory of remotecomputer equipment included in network 332.

In some embodiments, controller 322 is configured so that waterdispenser 250 will not operate to dispense water unless controller 322receives data from the nurse tracking system via network 332, oralternatively, a receiver (not shown) included in dispenser 250,indicating that a caregiver carrying or wearing an appropriatetransmitter is present in the hospital room in which dispenser 250 islocated. Such an arrangement prevents patients from operating dispenser250 unless a caregiver is present in the patient's room. A similararrangement where equipment is disabled unless a caregiver having anappropriate transmitter is present in the same room as the equipment,may be employed in connection with any of the equipment coupled to orassociated with wall units 212 discussed above in connection with FIGS.15 and 16.

The components of the electric circuit of module 282 receive electricalpower from a power source 338 via a coupler 340 and line a 342.Controller 322 comprises power conditioning circuitry to convert thepower from power source 338 (which, in most embodiments, is standard 120V, 60 Hz AC power) into appropriate voltages (5V or 12V, for example) tooperate the various components of the electric circuit, such as valve314, sensor 316, processor of controller 322, display 326, etc. In theillustrative embodiment, a portion of a power line 339 which extendsfrom power source 338 is routed through lower chase 268 and terminatesat a coupler 341, shown in FIG. 18, that mates automatically withcoupler 340 when module 282 is inserted into cavity 254 of headwall unit260.

In some embodiments sterilizer 288 has its own electric circuitincluding a line 344 and a coupler 346 as shown diagrammatically in FIG.20. In such embodiments, the electric circuit of module 282 has acoupler 348 and a line 350 that extends between coupler 350 andcontroller 322. Controller 322 provides power to sterilizer 288 andexchanges data with sterilizer 288 via lines 344, 350 and couplers 346,348. When controller 322 is coupled to the electric circuit ofsterilizer 288, various types of operating data, error conditions, alarmconditions, and the like relating to sterilizer 288 are displayable ondisplay 326 and are communicated to network 332. In some embodiments,controller 322 is programmed to operate and control the components ofsterilizer 288, and in other embodiments, sterilizer 288 has its owncontroller that is programmed to control and operate the components ofsterilizer 288.

The word “line” in this disclosure, including in the claims, is usedbroadly to refer to, for example, water lines 290, 292, 312, 318 (ifwater flows through the lines) and electrical lines 327, 328, 329, 330,334, 342, 344, 350 (if electrical signals or power is associated withthe lines). It will be appreciated that electrical lines 327, 328, 329,330, 342 may each comprise multiple conductors or wires. For example,lines 330, 334, 344, 350 may comprise an 8-bit, 16-bit, 32-bit, etc.data transfer bus and line 342 may comprise a ground wire, a positivevoltage wire, and a negative voltage wire. Water lines 290, 292, 312,318 may comprise pipes, tubes, hoses, passages in valves, passages inmanifolds, and the like.

Housings 284, 285 of modules 280, 282, respectively, are configured tofit into cavity 254 of headwall unit 260. Headwall unit 260 comprises ahorizontally extending panel 352, a portion of which underlies cavity254 as shown in FIG. 18. Headwall unit 260 further comprises a pair ofvertically extending side panels 354 lying alongside cavity 254.Housings 284, 285 each have a pair of spaced apart side panels or walls356 that, in the illustrative embodiment, are substantially planar andextend vertically.

When housings 284, 285 are received in cavity 254, the side walls 356 atthe interface between housings 284, 285 are positioned to lie alongsideone another so that coupler 300 of module 280 mates with coupler 311 ofmodule 282 thereby establishing fluid communication between lines 292,312 through couplers 300, 311. In addition, when housings 284, 285 arereceived in cavity 254, the other side walls 356 of housings 284, 285are positioned to lie alongside respective side panels 354 of headwallunit 260. Housings 284, 285 each have a bottom panel or wall 360 thatrests upon panel 352 of headwall unit 260. Coupler 340 associated withbottom wall 360 of housing 285 mates automatically with coupler 341associated with panel 352 when housings 284, 285 are received in cavity254.

Illustrative housing 285 has a front panel or wall 358 that issubstantially coplanar with front panel 310 of housing 284 when housings284, 285 are received in cavity 254. In addition, front panels 310, 358of housings 284, 285, respectively, are substantially coplanar withfront panels 362 of upper chase 266 of headwall unit 260 when housings284, 285 are received in cavity 254. Furthermore, each of housings 284,285 has a top wall 364, an upper chamfer wall 366, and a lower chamferwall 368 which are substantially coplanar with top panels 370, upperchamfer panels 372, and lower chamfer panels 374, respectively, ofheadwall unit 260. Thus, housings 284, 285 are configured to match theshape or contour of the outer surface of upper chase 266. Suitablelocking mechanisms (not shown), such as tabs, posts, pins, slots,latches, hooks, fingers, catches, and the like, as well as combinationsof these, are provided in some embodiments to retain water dispenser 250in cavity 254.

In alternative embodiments, water dispenser 250 has more modules thanillustrative modules 280, 282. For example, embodiments having multiplesterilizer modules, including separate modules with ultraviolet lights,chemical treatment equipment, heat exchangers, and the like, arecontemplated by this disclosure. In such embodiments, the size of cavity254 of headwall unit 260 is modified appropriately to receive how evermany modules are included in dispenser 250. It is also within the scopeof this disclosure for filtering or sterilizing components to be housedin the interior regions of upper chase 266 or lower chase 268 or both.In addition, it within the scope of this disclosure for dispenser module282 to be the only module coupled to headwall unit 260 and for thefilter or sterilizer equipment to be located remotely in the healthcarefacility such that filtered and/or sterilized water is piped through thehealthcare facility to dispenser module 282.

In alternative embodiments, lower chase 268 is configured with its owncavity, similar to cavity 254, for receiving a portion or all of waterdispenser 250. Furthermore, other configurations of cavities forreceiving the various water dispensers disclosed herein are within thescope of this disclosure. Such alternative cavities include, forexample, cavities having closed tops with top panel 370 bridging overthe underlying cavity, for example. In some embodiments of wall units212 having water dispensers, some of the filtering or sterilizingcomponents are housed in the interior regions of wall units 212 and areinaccessible without removing, for example, one or both of panels 229.

Although the invention has been described in detail with reference tocertain preferred embodiments, variations and modifications exist withinthe scope and spirit of the invention as described and defined in thefollowing claims.

1. A modular wall unit for use in constructing a room in a healthcarefacility, the modular wall unit comprising a pair of spaced apart sides,a service-delivery component supported between the pair of spaced apartsides a first panel movable vertically relative to the pair of spacedapart sides between a first position blocking access to theservice-delivery component and a second position allowing access to theservice-delivery component, a second panel that moves verticallyrelative to the pair of spaced apart, and a linkage mechanisminterconnecting the first panel and the second panel, the linkagemechanism being configured such that upward movement of the first panelresults in downward movement of the second panel and such that downwardmovement of the first panel results in upward movement of the secondpanel.
 2. The modular wall unit of claim 1, wherein at least one of thesides has an opening through which a service-delivery line is routed tothe service-delivery component.
 3. The modular wall unit of claim 1,wherein the service-delivery component is a gas outlet.
 4. The modularwall unit of claim 3, further comprising a gas flow meter coupled to thegas outlet and situated between the pair of spaced apart sides.
 5. Themodular wall unit of claim 1, further comprising a data monitor situatedbetween the pair of spaced apart sides.
 6. The modular wall unit ofclaim 5, wherein the first panel blocks access to the data monitor whenthe first panel is in the first position and the data monitor isaccessible when the first panel is in the second position.
 7. Themodular wall unit of claim 1, further comprising an environmentalcontrol panel situated between the pair of spaced apart sides.
 8. Themodular wall unit of claim 7, wherein the first panel blocks access tothe environmental control panel when the first panel is in the firstposition and the environmental control panel is accessible when thefirst panel is in the second position.
 9. The modular wall unit of claim1, further comprising a water dispenser situated between the pair ofspaced apart sides.
 10. The modular wall unit of claim 9, wherein thefirst panel blocks access to the water dispenser when the first panel isin the first position and the water dispenser is accessible when thefirst panel is in the second position.
 11. The modular wall unit ofclaim 1, wherein the first panel moves upwardly when moving from thefirst position to the second position.
 12. The modular wall unit ofclaim 1, wherein the first panel moves downwardly when moving from thefirst position to the second position.
 13. The modular wall unit ofclaim 1, further comprising user inputs that are usable to adjust roomlighting, the first panel blocks access to the user inputs when thefirst panel is in the first position, and the user inputs are accessiblewhen the first panel is in the second position.
 14. The modular wallunit of claim 1, further comprising user inputs that are usable toadjust room temperature, the first panel blocks access to the userinputs when the first panel is in the first position, and the userinputs are accessible when the first panel is in the second position.15. The modular wall unit of claim 1, further comprising user inputsthat are usable to control entertainment equipment, the first panelblocks access to the user inputs when the first panel is in the firstposition, and the user inputs are accessible when the first panel is inthe second position.
 16. The modular wall unit of claim 1, furthercomprising tracks and the first panel having side edges that arereceived in the tracks.
 17. The modular wall unit of claim 1, whereinthe second panel is situated beneath the first panel.
 18. The modularwall unit of claim 1, further comprising a locking mechanism to lock thefirst panel in at least one of the first and second positions.